ورقة عمل القيم المخبرية والشوارد مع الإجابات

أي قيمة هيموغلوبين لدى امرأة بالغة تقع دون المدى المرجعي النموذجي؟

1. A9,2 g/dL (92 g/L)
2. B13,5 g/dL (135 g/L)
3. C14,6 g/dL (146 g/L)
4. D12,8 g/dL (128 g/L)

What does the reticulocyte count measure?

1. APlatelets that are larger than normal in size
2. BOld red blood cells that are being removed by the spleen
3. CImmature white blood cells released during infection
4. DYoung red blood cells recently released from the bone marrow

What is the main role of fibrinogen in the blood?

1. AIt carries oxygen from the lungs to the body tissues
2. BIt transports iron from the gut to the bone marrow
3. CIt is converted to fibrin, which forms the mesh of a clot
4. DIt breaks down clots once the bleeding has stopped

أي مجموعة من العلامات تناسب فرط كالسيوم الدم؟

1. Aإمساك وإرهاق وتشوش وحصى كلوية
2. Bعطش مع بول مخفف جدًا كعلامتين وحيدتين
3. Cتكزز وتشنجات عضلية وعلامة خفوستك إيجابية
4. Dموجات T مدببة وضعف عضلي فقط

A healthy patient has a mildly raised CK after running a marathon yesterday, without dark urine or symptoms. What is the most likely explanation?

1. AAn acute myocardial infarction has occurred
2. BThe patient has developed acute pancreatitis
3. CStrenuous exercise raised CK from skeletal muscle
4. DThe patient has developed acute hepatitis

A patient with a potassium of 2,8 mEq/L has potassium chloride prescribed IV. Which statement about giving it is correct?

1. AIt is given as an undiluted bolus into a large vein to avoid irritation
2. BIt is added to the IV bag without mixing, so it stays at the bottom
3. CIt may be given as a slow IV push over one minute if the level is very low
4. DIt is always diluted and given by infusion pump, never as an IV push

A patient with blood pressure that is hard to control has a potassium of 2,9 mEq/L, a sodium of 144 mEq/L and a raised serum bicarbonate, without taking a diuretic. Which condition is most likely?

1. ACentral diabetes insipidus
2. BPrimary adrenal insufficiency
3. CSyndrome of inappropriate ADH
4. DPrimary hyperaldosteronism

A patient with suspected Cushing syndrome takes dexamethasone at night. The next morning, the cortisol is still high. What does this suggest?

1. ACortisol is being produced without normal feedback control
2. BThe patient has primary hypothyroidism instead
3. CThe result is normal, as dexamethasone raises cortisol
4. DThe adrenal glands are not able to produce enough cortisol